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Development of the Illinois Surgical Quality Improvement Collaborative (ISQIC): Implementing 21 Components to Catalyze Statewide Improvement in Surgical Care

INTRODUCTION: In 2014, 56 Illinois hospitals came together to form a unique learning collaborative, the Illinois Surgical Quality Improvement Collaborative (ISQIC). Our objectives are to provide an overview of the first 3 years of ISQIC focused on (1) how the collaborative was formed and funded, (2)...

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Autores principales: Bilimoria, Karl Y., McGee, Michael F., Williams, Mark V., Johnson, Julie K., Halverson, Amy L., O’Leary, Kevin J., Farrell, Paula, Thomas, Juliana, Love, Remi, Kreutzer, Lindsey, Dahlke, Allison R., D’Orazio, Brianna, Reinhart, Steven, Dienes, Katelyn, Schumacher, Mark, Shan, Ying, Quinn, Christopher, Prachand, Vivek N., Sullivan, Susan, Cradock, Kimberly A., Boyd, Kelsi, Hopkinson, William, Fairman, Colleen, Odell, David, Stulberg, Jonah J., Barnard, Cindy, Holl, Jane, Merkow, Ryan P., Yang, Anthony D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9987591/
https://www.ncbi.nlm.nih.gov/pubmed/36891561
http://dx.doi.org/10.1097/AS9.0000000000000258
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author Bilimoria, Karl Y.
McGee, Michael F.
Williams, Mark V.
Johnson, Julie K.
Halverson, Amy L.
O’Leary, Kevin J.
Farrell, Paula
Thomas, Juliana
Love, Remi
Kreutzer, Lindsey
Dahlke, Allison R.
D’Orazio, Brianna
Reinhart, Steven
Dienes, Katelyn
Schumacher, Mark
Shan, Ying
Quinn, Christopher
Prachand, Vivek N.
Sullivan, Susan
Cradock, Kimberly A.
Boyd, Kelsi
Hopkinson, William
Fairman, Colleen
Odell, David
Stulberg, Jonah J.
Barnard, Cindy
Holl, Jane
Merkow, Ryan P.
Yang, Anthony D.
author_facet Bilimoria, Karl Y.
McGee, Michael F.
Williams, Mark V.
Johnson, Julie K.
Halverson, Amy L.
O’Leary, Kevin J.
Farrell, Paula
Thomas, Juliana
Love, Remi
Kreutzer, Lindsey
Dahlke, Allison R.
D’Orazio, Brianna
Reinhart, Steven
Dienes, Katelyn
Schumacher, Mark
Shan, Ying
Quinn, Christopher
Prachand, Vivek N.
Sullivan, Susan
Cradock, Kimberly A.
Boyd, Kelsi
Hopkinson, William
Fairman, Colleen
Odell, David
Stulberg, Jonah J.
Barnard, Cindy
Holl, Jane
Merkow, Ryan P.
Yang, Anthony D.
author_sort Bilimoria, Karl Y.
collection PubMed
description INTRODUCTION: In 2014, 56 Illinois hospitals came together to form a unique learning collaborative, the Illinois Surgical Quality Improvement Collaborative (ISQIC). Our objectives are to provide an overview of the first 3 years of ISQIC focused on (1) how the collaborative was formed and funded, (2) the 21 strategies implemented to support quality improvement (QI), (3) collaborative sustainment, and (4) how the collaborative acts as a platform for innovative QI research. METHODS: ISQIC includes 21 components to facilitate QI that target the hospital, the surgical QI team, and the perioperative microsystem. The components were developed from available evidence, a detailed needs assessment of the hospitals, reviewing experiences from prior surgical and nonsurgical QI Collaboratives, and interviews with QI experts. The components comprise 5 domains: guided implementation (eg, mentors, coaches, statewide QI projects), education (eg, process improvement [PI] curriculum), hospital- and surgeon-level comparative performance reports (eg, process, outcomes, costs), networking (eg, forums to share QI experiences and best practices), and funding (eg, for the overall program, pilot grants, and bonus payments for improvement). RESULTS: Through implementation of the 21 novel ISQIC components, hospitals were equipped to use their data to successfully implement QI initiatives and improve care. Formal (QI/PI) training, mentoring, and coaching were undertaken by the hospitals as they worked to implement solutions. Hospitals received funding for the program and were able to work together on statewide quality initiatives. Lessons learned at 1 hospital were shared with all participating hospitals through conferences, webinars, and toolkits to facilitate learning from each other with a common goal of making care better and safer for the surgical patient in Illinois. Over the first 3 years, surgical outcomes improved in Illinois. DISCUSSION: The first 3 years of ISQIC improved care for surgical patients across Illinois and allowed hospitals to see the value of participating in a surgical QI learning collaborative without having to make the initial financial investment themselves. Given the strong support and buy-in from the hospitals, ISQIC has continued beyond the initial 3 years and continues to support QI across Illinois hospitals.
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spelling pubmed-99875912023-08-18 Development of the Illinois Surgical Quality Improvement Collaborative (ISQIC): Implementing 21 Components to Catalyze Statewide Improvement in Surgical Care Bilimoria, Karl Y. McGee, Michael F. Williams, Mark V. Johnson, Julie K. Halverson, Amy L. O’Leary, Kevin J. Farrell, Paula Thomas, Juliana Love, Remi Kreutzer, Lindsey Dahlke, Allison R. D’Orazio, Brianna Reinhart, Steven Dienes, Katelyn Schumacher, Mark Shan, Ying Quinn, Christopher Prachand, Vivek N. Sullivan, Susan Cradock, Kimberly A. Boyd, Kelsi Hopkinson, William Fairman, Colleen Odell, David Stulberg, Jonah J. Barnard, Cindy Holl, Jane Merkow, Ryan P. Yang, Anthony D. Ann Surg Open Review Article INTRODUCTION: In 2014, 56 Illinois hospitals came together to form a unique learning collaborative, the Illinois Surgical Quality Improvement Collaborative (ISQIC). Our objectives are to provide an overview of the first 3 years of ISQIC focused on (1) how the collaborative was formed and funded, (2) the 21 strategies implemented to support quality improvement (QI), (3) collaborative sustainment, and (4) how the collaborative acts as a platform for innovative QI research. METHODS: ISQIC includes 21 components to facilitate QI that target the hospital, the surgical QI team, and the perioperative microsystem. The components were developed from available evidence, a detailed needs assessment of the hospitals, reviewing experiences from prior surgical and nonsurgical QI Collaboratives, and interviews with QI experts. The components comprise 5 domains: guided implementation (eg, mentors, coaches, statewide QI projects), education (eg, process improvement [PI] curriculum), hospital- and surgeon-level comparative performance reports (eg, process, outcomes, costs), networking (eg, forums to share QI experiences and best practices), and funding (eg, for the overall program, pilot grants, and bonus payments for improvement). RESULTS: Through implementation of the 21 novel ISQIC components, hospitals were equipped to use their data to successfully implement QI initiatives and improve care. Formal (QI/PI) training, mentoring, and coaching were undertaken by the hospitals as they worked to implement solutions. Hospitals received funding for the program and were able to work together on statewide quality initiatives. Lessons learned at 1 hospital were shared with all participating hospitals through conferences, webinars, and toolkits to facilitate learning from each other with a common goal of making care better and safer for the surgical patient in Illinois. Over the first 3 years, surgical outcomes improved in Illinois. DISCUSSION: The first 3 years of ISQIC improved care for surgical patients across Illinois and allowed hospitals to see the value of participating in a surgical QI learning collaborative without having to make the initial financial investment themselves. Given the strong support and buy-in from the hospitals, ISQIC has continued beyond the initial 3 years and continues to support QI across Illinois hospitals. Wolters Kluwer Health, Inc. 2023-03-01 /pmc/articles/PMC9987591/ /pubmed/36891561 http://dx.doi.org/10.1097/AS9.0000000000000258 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Bilimoria, Karl Y.
McGee, Michael F.
Williams, Mark V.
Johnson, Julie K.
Halverson, Amy L.
O’Leary, Kevin J.
Farrell, Paula
Thomas, Juliana
Love, Remi
Kreutzer, Lindsey
Dahlke, Allison R.
D’Orazio, Brianna
Reinhart, Steven
Dienes, Katelyn
Schumacher, Mark
Shan, Ying
Quinn, Christopher
Prachand, Vivek N.
Sullivan, Susan
Cradock, Kimberly A.
Boyd, Kelsi
Hopkinson, William
Fairman, Colleen
Odell, David
Stulberg, Jonah J.
Barnard, Cindy
Holl, Jane
Merkow, Ryan P.
Yang, Anthony D.
Development of the Illinois Surgical Quality Improvement Collaborative (ISQIC): Implementing 21 Components to Catalyze Statewide Improvement in Surgical Care
title Development of the Illinois Surgical Quality Improvement Collaborative (ISQIC): Implementing 21 Components to Catalyze Statewide Improvement in Surgical Care
title_full Development of the Illinois Surgical Quality Improvement Collaborative (ISQIC): Implementing 21 Components to Catalyze Statewide Improvement in Surgical Care
title_fullStr Development of the Illinois Surgical Quality Improvement Collaborative (ISQIC): Implementing 21 Components to Catalyze Statewide Improvement in Surgical Care
title_full_unstemmed Development of the Illinois Surgical Quality Improvement Collaborative (ISQIC): Implementing 21 Components to Catalyze Statewide Improvement in Surgical Care
title_short Development of the Illinois Surgical Quality Improvement Collaborative (ISQIC): Implementing 21 Components to Catalyze Statewide Improvement in Surgical Care
title_sort development of the illinois surgical quality improvement collaborative (isqic): implementing 21 components to catalyze statewide improvement in surgical care
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9987591/
https://www.ncbi.nlm.nih.gov/pubmed/36891561
http://dx.doi.org/10.1097/AS9.0000000000000258
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